Healthcare Provider Details

I. General information

NPI: 1588017271
Provider Name (Legal Business Name): CARELIFE MEDICAL EQUIPMENT AND SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16202 ARROW HWY
IRWINDALE CA
91706-2015
US

IV. Provider business mailing address

16202 ARROW HWY
IRWINDALE CA
91706-2015
US

V. Phone/Fax

Practice location:
  • Phone: 626-699-1119
  • Fax: 626-699-1121
Mailing address:
  • Phone: 626-699-1119
  • Fax: 626-699-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: PERLY CABADO ALBERTS
Title or Position: PRESIDENT
Credential:
Phone: 626-699-1119